HomeMy Public PortalAbout4921 DOREEN AVE_Plumbing__ OF BUILDING AND SAFETY APPLICATION FOR PERMIT
DEPARTMENT
COUNTY F LOS ANGELES
WILLIAM J.
.FOX. CHIEF ENGINEER PLUMBING" I
DI R O. GROUP ZONE P
F APPLICANT TO FILL IN �r" � y/
LH T
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION - /
ADDRESS �� MN �r -al -Irl.-
ADo S
ENESS
OITY f TEL ADDR
COU Y _ '
9E N0. EXPIRES LOCALITY
NEAREST
PERMIT FEES CROSSST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER /
ADDRESS n n 1
WATER CLOSET(TOILET) a 0.50 $ Q �Y�Yy�
/ BATH TUB _
Q p.50 CITY TEL No.
SHOWER a 0.50 I HEREBY ACKNOWLEDG THAT I HAVE READ THIS
LAVATORY (WASHBASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q D.50 AND STATE LAWS REGULATING PLUMBING.
/ 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY ® 0.50 ANG ELEB COUNTY LICENSE, OR 1 AM THE LEgAL OWNER
OF THE RESIDENTI ROPERTY DESCRIBE BpVE.
OAS SYSTEM�UTLET9 !� O.SO SIGNATURE OF E
WATER HEATER Q 0.50 PERMITTC
SLOP BINK 0.50 INSPECTION RECORD
FLOOR SINK 0.80
FLOOR DRAIN ® 0.50
DISHWASHER ® 0.50
DRINKING FDUNTAIN 0.50
URINAL O.Sp )
Q
HOUSE SEWER ® O.SD _Z
MISCELLANEOUS
IY
O
APPROVALS
DATE IHBPEOTOR•B HAW
RDUOM PLUMBING J= L
MAP PIPING
GAS VENT
CE88POUL ® I.Dq CESSPOOL
SEPTIC TANKi SEPTIC TANK
DRAIN C ) PIT ( ) 1.00 SEWER r
PERMIT .
l.00 GAS TEST
FINAL UTILITY CO.NOTIFIED
TOTAL FEE S 6 5�'
-C✓ (� j�Z
)6x56]-CE18I7 6-65 CGPERMW
APPLICATION FOR PLUMBf
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING p,} T�p� -�•
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS / `4 IJV C
COLEMAN W. JENKINS. SUPT. OF BUILDING •� i r CT
LOCALITY '
.!
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. •'�
NUMBER FIXTURE OR ITEM EACH FEE ��
lv
WATER CLOSET $1.25 OWNER L� - \
BATH TUB 1.25 DDRESS Al c)7 F_ ! (L-r--
SHOWER 1.25 Cl Y z CI TEL. NO. —•7(�U
LAVATORY 1,25 CONTRACTOR
SINK 1.25 ADDRESS I C+ RCL-
DISHWASHER 1.25 CITY TG P'/4 ,k 4�_1 I,? TEL. NO. 47_^(I� ,
LIC
LAUNDRY TUB 1.25 _ICENSE NO. Z I �`a9QJ CLASS .� 1 ryT<j
CLOTHES WASHER 1.25 - - -
1S'RI CT NO._ GRQyp O % P O 5 L By
G
WATER HEATER 1.50 � (�/-) (ff/ Z �
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECT ON RECORD V
w
D_
N
_ Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 OO UNDER SLAB WORK
'� - ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE REAP THIS AP KATION GAS VENT
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REG ATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED A /OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEN TO
RESIDE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
'x SIGNATURE �(
OF PERMITTEE I "
FINAL !l
ALIDATION
CK. M.O. CASH
LfICo 1 2 3 8 n APR 13 5 D
3:5- 0-
. COUNTY OF LOS ANGELES TEMPLE CITY # 0506 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0906220007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0468 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 13645 LT: 53 4921 DOREEN AV
I IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917804117
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: KEY WEST
18585-024-039 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 599 GRID: C4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 1
ITENANT: 121 HOSE BIBB(S) 1.00 FIX 16.20 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
1 125 LAVATORIES/SINKS 1.00 FIX 16.20 106/22/09 SR 12/19/09 1
1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 1
1OWNER: TEL. NO: 160 DW REPAIR OR ALTER 1.00 SYS 16.20 FINAL DATE FINAL BY: CODE:
WANG, WALTER (626) 922-4921- 1 TOTAL FEES 108.75 1
14921 DOREEN AVE.
ITEMPLE CITY CA 91700 1 IDESCRIPTION OF WORK I
PLUMBING FOR NEW BATHROOM
I
1APPLICANT: TEL. NO: 1 I I
IDE ARTOLA (213) 215-9813- 11 1
12020 S. VERMONT AVE 1 ISPECIAL CONDITIONS: 1
LOS ANGELES
I I I I
I
CONTRACTOR: TEL. NO; I JAPPROVALS DATE INSPECTOR SIGNATDRE
I WANG, WALTER (626) 922-4921- 1 1_ n1
14921 DOREEN AVENUE LIC. NO (UNDER SLAB WORK
(TEMPLE CITY, CA 91780 NONE
(WATER SERVICE
(PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
- IROUGH PLUMBING I
LIC. NO: I I
IGAS PIPING
I I I
I I LGA$ VENT I I I
I
IHOT WATER HEATER
I
I 1PLUN,BING FIXTURES 1
I I (LAWN SPRINKLERS I 1 I
I
I I GAS TEST I I I
I I I
I I (UTILITY COMPANY NOTIFIED( I I
I I I Com'
I I (GRAY WATER SYSTEM
I I I I I I
I I I I I I
I I I I I I
I IRE PORT I0: DPR263 ROUTE T0: B50508 I I I I
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0210040002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: -FEES PAID BUILDING S:
TR: 13645 LT: 53 4921 DOREEN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804117
ASSESSOR INFORMATION NEAREST CROSS STREET: LOWER AZUSA
8585-024-039 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TE 25 LAVATORIES/SINKS 3.00 FIX 48.60 ISSUED : PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 10/04/02 JK 04/02/03
47 WATER HEATER(S) 1.00 WTH 16.20
OWNER: TEL. N0: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL DABY: CODE:
VOONG;CARRIE (626) 429-8023- 63 WATER PIPING BR/FIX 12.00 FIX 81.00 �'L,/1
4921 DOREEN AVENUE TOTAL FEES 222.15
TEMPLE CITY 91780 DESCRIPTION OF WORK
C/O BATHRM FIXTURES, KITCHEN SINK,COPPER REPIPE
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR R: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING XTUR S
AWN SPRINKLERS
GAS TEST
UTILITY COMPANY NO
WV
GRAY WATER SYSTEM
REPORT ID: OPR263 ROUTE TO: BS0508